Urban Interventional Strategies | |
15108 Doveheart Ln Bowie MD 20721-3054 | |
(240) 461-3008 | |
Not Available |
Full Name | Urban Interventional Strategies |
---|---|
Speciality | Community/behavioral Health |
Location | 15108 Doveheart Ln, Bowie, Maryland |
Authorized Official Name and Position | Kevin Jackson (OWNER/CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 2404613008 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Urban Interventional Strategies 15108 Doveheart Ln Bowie MD 20721-3054 Ph: (240) 461-3008 | Urban Interventional Strategies 15108 Doveheart Ln Bowie MD 20721-3054 Ph: (240) 461-3008 |
NPI Number | 1114309721 |
---|---|
Provider Enumeration Date | 06/19/2015 |
Last Update Date | 06/19/2015 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114309721 | NPI | - | NPPES |
713424 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
251S00000X | Community/behavioral Health | LC4018 (Maryland) | Primary |
251S00000X | Community/behavioral Health | PRC14352 (District Of Columbia) | Secondary |
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